Comparative Study Of Minimally Invasive Surgery And Traditional Open Surgery In The Treatment Of Spinal Tuberculosis

Objective:To compare the minimally invasive surgery and conventional open surgery in some effect in treatment of patients with spinal tuberculosis. Study on minimally invasive surgery in the treatment of spinal tuberculosis clinical application value.Methods and Materials:Collecting on clinical treatment of90cases of spinal uberculosis patients, is divided into three groups A, B, C,where A group of41regular micro-invasive surgery (CT-guided percutaneous focal cleaning, lesion catheterization, anti-TB drug infusion rinse, persistent local chemotherapy),36regular traditional open surgical debridement of the B group, C13routine open surgery with minimally invasive surgery.Combination of postoperative oral chemotherapy drug, follow-up of one year.Determine a, b, clinical treatment effects of each of the two methods, and neural functional recovery, cure rate, erythrocyte sedimentation rate, Cobb angle correction for comparative analysis and an analysis on clinical effect of Group c patients, statistical analysis and applications SPSS16.0statistical analysis software.Results:In selected patients, cure rate comparison, group of minimally invasive surgery for95.1%.86.1%open surgery group, two sets of cure rates with the Chi square test,(χ2=0.951,P=0.330>0.05), the difference was not statistically significant.Recovery of neural function, a comparison group patients before and after surgery there is a statistically significant difference (t=-5.739,P<0.05). B comparison group patients before and after surgery there is a statistically significant difference (t=-6.010,P<0.05). Compared to the two groups was not statistically significant differences (t=1.673,P=0.103>0.05).Kyphosis angle correction, comparison of before and after a group there is a statistically significant difference (t=7.910,P<0.05). B comparison group patients before and after surgery there is a statistically significant difference (t=8.680,P<0.05). Group of kyphosis correction better than open surgery minimally invasive Group (t=2.069,P=0.043<0.05).Group c in two patients with severe spinal tuberculosis combined treatment effects.Conclusions:1、In meet following conditions (1) simple vertebral body TB (2) lesions within died bone formed (3) lesions clear operation Hou recurrence (4) lesions clear operation Hou recurrence, and sinus formed (5) merged mild neural oppression symptoms (6) general situation difference, cannot tolerance radical surgery (7) spinal TB with30°within of Hou convex deformity who, micro-create surgery and open surgery treatment spinal TB effect is, micro-create surgery will is better of select. 2、In the treatment of tuberculosis of the spine, minimally invasive surgery safer, smaller traumatic, risk of small, low cost, good effect. Can become an important method of spinal tuberculosis treatment.3、For the following serious spinal tuberculosis patients (1) severe spinal deformity, kyphosis angle greater than40degrees, and (2) serious spinal instability, and (3) serious nerve compression and lower extremities accompanied by obvious symptoms. Using open surgery combined with minimally invasive surgery has made very good clinical results.